Insurance operations and client service professional with experience in Corporate Risk & Broking support, policy administration, insurance renewals, healthcare benefits, customer service, and compliance.
• Answers provider calls for patient's eligibility and benefits with strict compliance with HIPAA.
• Provides Hospital, medical, and dental benefits.
• Checking if procedure codes are covered and billable.
• Answer queries regarding the claim's overall status, providing reasons for denials, payment details, and information on how providers can submit reconsideration letters or appeals.
• Discussed Authorization requirements and status.
• Assists self-service website.